ICD-10-PCS B40B: Intra-Abdominal Arteries Coding

ICD-10-PCS Code For Intra-Abdominal Arteries: Procedure Code Group Overview

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group B40B includes procedures performed to produce planar radiographic images of arterial structures in the intra-abdominal region. These ICD-10-PCS codes are used for inpatient documentation when plain radiography of intra-abdominal arteries is performed to evaluate vascular anatomy, detect calcifications, or assess for obstruction or other pathology. Accurate coding within the ICD-10-PCS B40B group is essential for proper inpatient reimbursement, as it captures the specific imaging procedure performed and supports clinical documentation accuracy.

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Intra-Abdominal Arteries Plain Radiography Procedure Overview

This procedure group includes plain radiography imaging of intra-abdominal arteries using external ionizing radiation captured on photographic or photoconductive plate. These procedures target the lower arterial system within the abdomen and produce planar images to evaluate arterial anatomy or pathology. Accurate ICD-10-PCS coding of these imaging procedures matters for inpatient reimbursement because it documents the imaging modality and anatomical focus used to support diagnostic and treatment decisions.

Character	ICD-10-PCS Category	Code Group Details
B	Section	Imaging
4	Body System	Lower Arteries
0	Operation	Plain Radiography
B	Body Part	Intra-Abdominal Arteries, Other

Character

ICD-10-PCS Category

Code Group Details

Section

Imaging

Body System

Lower Arteries

Operation

Plain Radiography

Body Part

Intra-Abdominal Arteries, Other

ICD-10-PCS Code For Intra-Abdominal Arteries: Procedure Code Group Overview

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Intra-Abdominal Arteries Plain Radiography Procedure Overview

Character	ICD-10-PCS Category	Code Group Details
B	Section	Imaging
4	Body System	Lower Arteries
0	Operation	Plain Radiography
B	Body Part	Intra-Abdominal Arteries, Other

Character

ICD-10-PCS Category

Code Group Details

Section

Imaging

Body System

Lower Arteries

Operation

Plain Radiography

Body Part

Intra-Abdominal Arteries, Other

When to Use

Use a code from this group when a planar radiographic imaging study is performed specifically targeting intra-abdominal arteries with external ionizing radiation capture. These codes apply when the imaging is documented as plain radiography of the intra-abdominal arterial structures during an inpatient encounter.

ICD-10-PCS Code	Description
B40B0ZZ	Plain Radiography of Other Intra-Abdominal Arteries using High Osmolar Contrast
B40B1ZZ	Plain Radiography of Other Intra-Abdominal Arteries using Low Osmolar Contrast
B40BYZZ	Plain Radiography of Other Intra-Abdominal Arteries using Other Contrast

ICD-10-PCS Code

Description

B40B0ZZ

Plain Radiography of Other Intra-Abdominal Arteries using High Osmolar Contrast

B40B1ZZ

Plain Radiography of Other Intra-Abdominal Arteries using Low Osmolar Contrast

B40BYZZ

Plain Radiography of Other Intra-Abdominal Arteries using Other Contrast

Typical Clinical Scenarios

An elderly patient with known atherosclerotic disease is admitted for evaluation of worsening mesenteric ischemia symptoms—postprandial abdominal pain and weight loss—where cross-sectional imaging is inconclusive for arterial calcifications. Inpatient planar radiography targeting intra-abdominal arterial calcifications is obtained to document heavy vascular calcification and support further vascular management decisions. Typical codes: B40B0ZZ
A middle-aged patient presents emergently after blunt abdominal trauma with concern for intra-abdominal arterial injury; the patient is hemodynamically stable but requires inpatient imaging to screen for arterial irregularity or foreign-body contrast outlines. Plain radiographic imaging of the intra-abdominal arterial distribution is performed using low osmolar contrast to delineate suspected arterial outlines as part of the inpatient diagnostic workup. Typical codes: B40B1ZZ
A patient admitted for workup of chronic abdominal pain and prior inconclusive angiographic studies undergoes a focused inpatient plain radiography study of intra-abdominal arteries using a nonstandard contrast agent documented in the record. The study produces planar images of the lower abdominal arterial tree to evaluate persistent filling defects or anatomic variants noted on prior tests. Typical codes: B40BYZZ

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

ICD-10-PCS Code	Description
B40B0ZZ	Plain Radiography of Other Intra-Abdominal Arteries using High Osmolar Contrast
B40B1ZZ	Plain Radiography of Other Intra-Abdominal Arteries using Low Osmolar Contrast
B40BYZZ	Plain Radiography of Other Intra-Abdominal Arteries using Other Contrast

An elderly patient with known atherosclerotic disease is admitted for evaluation of worsening mesenteric ischemia symptoms—postprandial abdominal pain and weight loss—where cross-sectional imaging is inconclusive for arterial calcifications. Inpatient planar radiography targeting intra-abdominal arterial calcifications is obtained to document heavy vascular calcification and support further vascular management decisions. Typical codes: B40B0ZZ
A middle-aged patient presents emergently after blunt abdominal trauma with concern for intra-abdominal arterial injury; the patient is hemodynamically stable but requires inpatient imaging to screen for arterial irregularity or foreign-body contrast outlines. Plain radiographic imaging of the intra-abdominal arterial distribution is performed using low osmolar contrast to delineate suspected arterial outlines as part of the inpatient diagnostic workup. Typical codes: B40B1ZZ
A patient admitted for workup of chronic abdominal pain and prior inconclusive angiographic studies undergoes a focused inpatient plain radiography study of intra-abdominal arteries using a nonstandard contrast agent documented in the record. The study produces planar images of the lower abdominal arterial tree to evaluate persistent filling defects or anatomic variants noted on prior tests. Typical codes: B40BYZZ

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Intra-Abdominal Arteries Plain Radiography Procedure Overview

Code Attributes

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ICD-10-PCS Code For Intra-Abdominal Arteries: Procedure Code Group Overview

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Intra-Abdominal Arteries Plain Radiography Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

Typical Clinical Scenarios

Related Codes

References

When to Use

ICD-10-PCS Codes

Typical Clinical Scenarios

Related Codes

References

ICD-10-PCS Code For Intra-Abdominal Arteries: Procedure Code Group Overview

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Intra-Abdominal Arteries Plain Radiography Procedure Overview

Code Attributes

ICD-10-PCS Code For Intra-Abdominal Arteries: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Intra-Abdominal Arteries: Procedure Code Group Overview policy alerts

Intra-Abdominal Arteries Plain Radiography Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

Typical Clinical Scenarios

Related Codes

Which procedures are included in the ICD-10-PCS B40B code group?

What is the clinical purpose of procedures coded to B40B?

How do the individual codes in B40B differ from one another?

Why is accurate coding within the B40B group important for inpatient documentation?

Under which ICD-10-PCS section and body system are B40B procedures classified?

References

When to Use

ICD-10-PCS Codes

Typical Clinical Scenarios

Related Codes

Which procedures are included in the ICD-10-PCS B40B code group?

What is the clinical purpose of procedures coded to B40B?

How do the individual codes in B40B differ from one another?

Why is accurate coding within the B40B group important for inpatient documentation?

Under which ICD-10-PCS section and body system are B40B procedures classified?

References